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Garden State Spine and Pain Institute LLC

NPI 1023196094ActiveOrganization· Chiropractor· Eatontown, NJ

Chiropractor in Eatontown, New Jersey, registered in NPPES in November 2006. The authorized official on file is Raj Andrew Gupta, DC, Partner/Ower.

Overview

NPI1023196094
StatusActive
Entity typeOrganization
NPI issuedNov 1, 2006
Last updated in NPPESMay 25, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X38MC00475800NJ
Chiropractor111N00000X38MC00542300NJ
Acupuncturist171100000X25MZ00052600NM
Acupuncturist171100000X25MZ00035200NJ
Acupuncturist171100000X25MZ00038300NJ
Physical Medicine & Rehabilitation208100000X25MA07807000NJ
Physical Medicine & Rehabilitation208100000X25MB07638100NJ
Pain Medicine, Interventional Pain Medicine208VP0014X25MA07847300NJ
Physical Therapist225100000X40QA01192300NJ
Physical Therapist225100000X40QA01205100NJ
Physical Therapist225100000X40QA00722100NJ
Physical Therapist225100000X40QA01101200NJ
Physical Therapist225100000X40QA00941400NJ
Physical Therapist225100000X40QA01152600NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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